Application  
First Name:
Last Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Alternate Phone Number:
Email Address:
Alternate Email Address:
Which position are you applying for:
Do you have a current American Red Cross Lifeguarding certification?
Yes No
  If yes, when does it expire?
Do you have a current American Red Cross CPR for the Professional rescuer certification?
Yes No
  If yes, when does it expire?
Do you have a current American Red Cross First Aid certification?
Yes No
  If yes, when does it expire?
Will you be working for another department at Gonzaga University?
Yes No
  If yes, how many hours per week?
What is your polo shirt size?
List your previous work history as a lifeguard or fitness center employee (include supervisor’s name and contact information):
 
Have you previously had any group fitness instructor training? Yes No
  If yes, what can you teach?
  If yes, what national certification do you hold?
What is your class schedule?
(Please indicate if it is your fall, spring or summer schedule and list it as Monday 12-2pm, 4:10-5pm; Tuesday 9am-4pm; Wednesday 9-9:50am, 12-2pm, 4:10-5pm; etc...)
 
Do you have any other commitments that would limit your work schedule?
  Yes No
  If yes, when would those commitments occur?